Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.35 / $22.35 / $22.35	Facility	26	$22.35	$22.35	$22.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.78 / $47.52 / $258.00	Professional		$40.78	$47.52	$258.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.88 / $85.88 / $85.88	Professional		$85.88	$85.88	$85.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $89.00 / $126.44	Professional		$44.04	$89.00	$126.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.75 / $68.30 / $111.00	Professional		$50.75	$68.30	$111.00
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $39.11 / $49.00 / $66.08	Facility	26	$39.11	$49.00	$66.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $179.62 / $179.62 / $179.62	Professional		$179.62	$179.62	$179.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $51.99 / $90.40	Professional		$29.53	$51.99	$90.40
United Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $58.37 / $98.35	Professional		$43.50	$58.37	$98.35